Individual
JENNIFER MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15555 OLD STAGECOACH RD, WALTON, OR 97490-9713
(541) 999-4880
Mailing address
PO BOX 1450, FLORENCE, OR 97439-0071
(541) 999-4880
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
09/23/2020
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